Individual provider · Type 1 NPI

Shaun Mantooth, PA

Physician Assistant · Lubbock, TX

NPI number 1326419748 Active

Practice location

6002 Slide Rd Ste D24
Lubbock, TX 79414-4310

Call (806) 761-0450 Map

Fax (806) 796-7259

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3537

Other practice locations

  • 602 Indiana Ave, Lubbock, TX 79415-3364 · (806) 775-8200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA10211 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1326419748

Shaun Mantooth, PA's National Provider Identifier is 1326419748, issued on Oct 12, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lubbock, TX. The record was last updated on Oct 2, 2025.